The general public’s information needs and perceptions regarding hereditary cancer: an application of the Integrated Change Model

Vries, Hein de; Mesters, Ilse; Steeg, Hermanna van de; Honing, C.

doi:10.1016/j.pec.2004.01.002

Cited by 292 publications

(256 citation statements)

References 39 publications

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“…In a recent study among the general public in the Netherlands, 57% perceived a lack of genetic knowledge [13], which is corroborated by other recent studies in the Netherlands [28,29] and abroad [30,31]. This finding was unanticipated as we expected chronic patients to be relative experts owing to their long-standing experience with health care.…”

Section: Discussionsupporting

confidence: 69%

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Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease

Morren

Rijken

Baanders

et al. 2007

Patient Education and Counseling

111

163

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Objective: Genetics increasingly permeate everyday medicine. When patients want to make informed decisions about genetic testing, they require genetic knowledge. This study examined the genetic knowledge and attitudes of patients with chronic diseases, and the relationship between both. In addition, patients were asked about their preferred source of genetic information. Methods: Questionnaires were mailed to participants of a nationwide representative sample of patients with chronic diseases in the Netherlands (n = 1916). Results: The response rate was 82% (n = 1496). Perceived genetic knowledge was low, particularly among older and lower educated patients. Attitudes towards genetics were rather positive, especially among younger and higher educated patients. Some concerns were also documented, mainly about the consequences of genetic testing for employment and taking insurance. Patients who perceived to have little knowledge found it difficult to formulate an opinion about genetic testing. Higher levels of genetic knowledge were associated with a more favourable attitude towards genetics. Chronic patients prefer to receive genetic information from their GP. Conclusion: Chronic patients are ill prepared when they require genetic knowledge to make decisions regarding the treatment of their disease. This seems to result from a knowledge deficiency rather than from disagreement with the genetic developments. Practice implications: When chronic patients are in need of information about genetics or genetic testing, their general practitioner should provide this. #

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Section: Discussionsupporting

confidence: 69%

“…Patients with chronic diseases preferred their GP as source of genetic information, and to a lesser degree information sheets, medical specialists, and the media [28,29]. As a family doctor, the GP is in a good position to provide genetic information [37], which is something GPs themselves agree with [38,39].…”

Section: Discussionmentioning

confidence: 99%

Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease

Morren

Rijken

Baanders

et al. 2007

Patient Education and Counseling

111

163

View full text Add to dashboard Cite

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“…The I-Change Model assumes three phases in the behavioural change process: awareness (determined by cognizance, knowledge, risk perceptions, and cues to action), motivation (determined by attitudes, social influence beliefs and self-efficacy) and action (determined by self-efficacy, intentions, action planning and plan enactment). Additionally, these phases are influenced by distal preceding factors (such as personality, social environmental factors, and information factors (such as the type and quality of the health communication provided) [41][42][43][44] . This study focused on the motivational determinants as specified by the I-Changed Model.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

Schoren¹,

Hummel²,

Vries³

2017

Tob. Prev. Cessation

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INTRODUCTION This study examined vaping behaviour, precursors of vaping, and motivational differences between smokers, dual users and vapers. The objectives were to assess a) vaping characteristics and reasons for use, b) differences in motivational factors and behavioural precursors associated with e-cigarette use, and c) socio-demographic and motivational factors associated with electronic cigarette use. METHODS A cross-sectional survey among 259 vapers, 135 smokers, and 83 dual users was conducted in the Netherlands. The questionnaire, based on the I-Change Model, assessed demographics, smoking and vaping behaviour, quit attempt, attitudes towards e-cigarettes, social influences, self-efficacy about not to vape and intention to quit. RESULTS Vaping e-cigarettes was mostly started for health reasons. Less than 2% of the vapers had never used conventional cigarettes. Vapers reported most advantages of e-cigarettes whereas smokers were least convinced of them, encountered more modelling of vaping in their social environment and reported higher self-efficacy to control vaping. Older respondents and respondents with low levels of education and low income were more likely to use e-cigarettes instead of conventional cigarettes. CONCLUSIONS Although vaping was mostly started for health reasons, the use of the product was not strictly limited to (former) smokers. Health communication for non-smokers is needed to stress potential dangers. Both vapers and non-vapers encounter barriers for using e-cigarettes in difficult situations. If e-cigarettes are used as a smoking cessation tool, more information is needed to help users cope with these situations. For future interventions we recommend to take potential motivational differences among low and high income and educated groups into account.

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“…[48][49][50]. The I-Change model builds on an earlier model (called the Attitude -Social Influence-Self-efficacy model; refs.…”

Section: Introductionmentioning

confidence: 99%

Motives of Belgian Adolescents for Using Sunscreen: The Role of Action Plans

Vries

Mesters

Riet

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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The first objective of this study was to analyze the differences between adolescents who use sunscreen frequently and those who do not. The second objective was to explore the importance of specific action plans when planning sunscreen use. Data was gathered among 602 Belgian secondary school students. Frequent and infrequent users of sunscreen were compared on several determinants related with sunscreen use, and a regression analysis on sunscreen use was done. Frequent users of sunscreen measures had significantly higher scores on attitudes, social influence, self-efficacy, some awareness factors, intention, and action plans. The integrated model for exploring motivational and behavioral change (I-Change model) explained 57% of the total variance of using sunscreen every 2 hours. Frequent sunscreen use was most strongly predicted by action plans, followed by positive intentions to use sunscreen, wearing protective clothing, seeking shade, attitude toward sunscreen use, education, social influence, and exposure to the sun. Our results suggest that skin cancer prevention programs aimed at promoting sunscreen use need to emphasize the advantages of sunscreen to infrequent users and to increase feelings of self-efficacy. Moreover, support by friends and parents should be stimulated. Finally, developing specific action plans for the use of sunscreen should be promoted to more effectively translate general intentions into actual sunscreen use. (Cancer Epidemiol Biomarkers Prev 2006;15(7):1360 -6)

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The general public’s information needs and perceptions regarding hereditary cancer: an application of the Integrated Change Model

Cited by 292 publications

References 39 publications

Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease

Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

Motives of Belgian Adolescents for Using Sunscreen: The Role of Action Plans

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